AH I VOE 1 ATI 2021

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AH I VOE 1 ATI 2021

ATI Video Case Studies – Fundamentals

 Look/Sound-Alike Medications - Safety

Look/sound-Alike Medications

Video Challenge Question

 The nurse is performing the first check for safe medication administration prior to

administering metronidazole to Ms. Winder. He notes that the label is incorrect. What

error did the nurse discover? What steps should the nurse take to minimize the risk of

making a medication error?

The IV bag of Metronidazole 780 mg was labeled incorrectly as Fluconazole 750

mg. The nurse should ensure the five rights of medication administration, ensure

the correct medication is prescribed for the correct patient, in the correct dosage,

via the correct route, and timed correctly.

Discussion Questions

 What information does the Institute for Safe Medication Practices provide to help

nurses minimize the risk of medication errors? Give three specific examples.

To minimize the risk of making any type of medication error:

- avoid distractions and interruptions while accessing and preparing

medications.

- Call the doctor to verify the medication that was ordered for the patient

and

- have another nurse to verify the medication with you.

 What actions should the nurse take if it is discovered that the pharmacy provided the

wrong medication or that the patient received the wrong medication?

This study resource was

The nurse should call the pharmacist to inform them that the medication was labeled

incorrectly. In case the patient, received the incorrect medication; assess for any adverse

reactions and report the incident to the charge nurse.

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